Telerounding Offers High Patient Satisfaction After Total Joint Arthroplasty
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ORIGINAL ARTICLE
Telerounding Offers High Patient Satisfaction After Total Joint Arthroplasty Andrew M. Schwartz, MD Evan M. Schwechter, MD
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J. Chan, MD & Benjamin J. Levy, MD & Sandip P. Tarpada, MD &
Received: 19 March 2020/Accepted: 28 September 2020 * Hospital for Special Surgery 2020
Abstract Background: Research in surgical fields other than orthopedics has demonstrated high patient satisfaction with non-traditional telerounding modalities. Questions/Purposes: We sought to determine patient satisfaction and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores of patients who experienced telerounding in the post-operative period after undergoing total joint arthroplasty (TJA). Methods: Fifty consecutive TJA patients were prospectively enrolled to receive Level of Evidence: Level III: Therapeutic Study Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11420-020-09813-0) contains supplementary material, which is available to authorized users. A. M. Schwartz, MD Emory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322, USA A. M. Schwartz, MD (*) Emory University Orthopaedics & Spine Hospital, 1455 Montreal Rd. E., Tucker, GA 30084, USA e-mail: [email protected] F. J. Chan, MD : S. P. Tarpada, MD : E. M. Schwechter, MD Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USA F. J. Chan, MD : S. P. Tarpada, MD : E. M. Schwechter, MD Department of Orthopaedics, Montefiore Medical Center, 1250 Waters Pl, Bronx, NY 10461, USA B. J. Levy, MD UBMD Orthopaedics & Sports Medicine, Jacobs School of Medicine and Biomedical Sciences, State University of New York, 4225 Genesee Street, Suite 400, Cheektowaga, NY 14225, USA
telerounding. The patients were divided into two groups based on their satisfaction with telerounding. The HCAHPS scores of the patients who received telerounding were compared with 50 control patients. Results: Overall, the telerounding cohort had a positive reaction to telerounding. Comparing patients who were highly satisfied to those who were dissatisfied with telerounding, younger patients were found to be more frequently satisfied with telerounding. Compared with patients who did not receive telerounding, patients who experienced telerounding rated the hospital higher on a 10-point scale were more likely to recommend the hospital to others, more frequently believed their physicians treated them with courtesy and respect, and more often believed their physicians always listened to them carefully. Conclusion: An overwhelming majority of our patients found telerounding using FaceTime enhanced their care while recovering post-operatively from TJA. Those patients were typically younger and had significantly higher HCAHPS scores, which potentially can enhance the physician-patient relationship. Keywords telerounding . patient satisfaction . hospital consumer assessment of healthcare providers and systems (HCAHPS) scores . total joint replacement Introduction Communication is a point
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